Why Acne Is More Than a Surface Condition
Most people see acne as just pimples on the face, but it runs much deeper than that. It starts inside the skin where oil, dead cells, and bacteria clog hair follicles, leading to inflammation that can harm tissues far below the surface.[1][6]
Take cystic acne, for example. This severe type forms nodules deep under the skin, not like regular pimples that sit on top. The pressure from this deep swelling often collapses the follicle, trapping infection and causing lasting damage even if you leave it alone.[1]
That damage shows up as scars. When acne inflames the dermis, the skin’s deeper layer, it breaks down collagen and elastin, the proteins that keep skin smooth and strong. In healing, the body might make too little collagen, leaving pits called atrophic scars, or too much, creating raised bumps like hypertrophic or keloid scars.[5][7][8]
These scars do not fade easily. Untreated acne can leave permanent marks and dark spots that stick around for life.[3] Sun exposure makes it worse by darkening pigment and breaking down collagen further.[5]
Beyond the skin, acne hits hard emotionally. Severe cases lower confidence, self-esteem, and how people see themselves. Even after breakouts stop, scars affect social life and well-being.[1][2][5]
Hormones, stress, diet, and products play roles too. In adults, shifts from cycles, PCOS, or cortisol spike oil and clog pores deeper.[4] High-sugar foods or dairy can fuel inflammation.[4] Harsh cleansers trap bacteria inside.[4][6]
Acne signals bigger issues like hormone imbalances or lifestyle factors. It harms not just your looks, but your inner confidence too.
Sources
https://stackedskincare.com/blogs/blog/the-aesthetician-s-mini-guide-to-treating-acne
https://clinicaltrials.eu/disease/acne/acne-basic-information/
https://www.njdermatologyandmohs.com/medical-dermatology/acne-south-jersey/
https://www.westchestercosmeticdermatology.com/blog/adult-acne-why-it-happens-and-how-to-treat-it/
https://www.kins-clinic.com/blogs/what-are-the-main-acne-scar-types-a-skin-friendly-guide-with-treatment-options
https://artofskincare.com/blogs/learn/acne-lesson-1-what-is-acne-and-why-do-i-have-it
https://www.youraestheticcarecenter.com/conditions/acne-acne-scarring/
https://worldofasaya.com/blogs/acne/essential-checklist-healing-skin-texture-after-acne
